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Preventive Health Resources

AmeriHealth Caritas Delaware partners with our providers to prevent member illness and disease through preventive care. Preventive care includes a broad range of services, including:

  • Screening tests.
  • Counseling.
  • Immunizations/vaccines.

Immunizations

  • Providers are required to administer immunizations in accordance with the recommended childhood immunization schedule for the United States, or when medically necessary for the member's health. Members or their guardians always have the right to refuse treatment.
  • For members younger than 21 years, Providers are required to administer all vaccines for which the member is eligible at each visit.
  • Providers are required to participate in the Vaccines for Children Program (VFC).

Immunization schedules (childhood, adolescent and adult)

Vaccines For Children program

Vaccines that will be administered to members age 18 years old and younger should be obtained through the VFC program.  Vaccines  covered by the VFC program will not be reimbursed by AmeriHealth Caritas Delaware.  However, AmeriHealth Caritas Delaware will reimburse for the administration of vaccines that are available through the VFC program. Providers are expected to plan for a sufficient supply of vaccines and are required to report the use of VFC vaccines immunizations by billing with the appropriate procedure codes and modifier.

About our schedules

AmeriHealth Caritas Delaware has adopted the U.S. Preventive Services Task Force (USPSTF) Guide to Clinical Preventive Services childhood and adolescent immunization schedule, approved by:

  • The Advisory Committee on Immunization Practices (ACIP).
  • The American Academy of Pediatrics (AAP).
  • The American Academy of Family Physicians (AAFP).

The adult immunization schedule is approved by:

  • The Advisory Committee on Immunization Practices (ACIP).
  • The American College of Obstetricians and Gynecologists (ACOG).
  • The American Academy of Family Physicians (AAFP).